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        퇴행성 소뇌 운동실조 증례보고

        반사평 ( Shih Ping Pan ),김순중 ( Sun Jung Kim ) 한방재활의학과학회 2003 한방재활의학과학회지 Vol.13 No.3

        Objective : We have a reasonable effect on a male patient, 65 ages, who was diagnosed as cerebellar degeneration and ataxia, and have suffered from of cerebellar diseases, extrapyramidal tract, and disorder of neural system with oiental medicine theories and fitness exercise. Methods : We treated a patient with concerned about the ADL and not only allopathic therapy but herbal medicines, acupuncture, moxibusion, physiotherapy, and exercise. Results and Conclusions : We get a significant results that show recovery from gait disturbance, dysarthria, Long-Bi(륭閉), and disorder of neural system through in or out hospital care. cerebellar Degeneration and ataxia must be cared by intensive treatment as oriental medicine and exercise because of being issues from medically, psychologically, and societically views.

      • KCI등재
      • KCI등재

        요통환자의 Fergnson`s 및 Lumbar I.V.D Angle에 대한 임상 관찰

        반사평 ( Shih Ping Pan ),권영민 ( Young Min Kwon ),김순중 ( Sun Jung Kim ) 한방재활의학과학회 2002 한방재활의학과학회지 Vol.12 No.4

        Objective : Although theoretical possibility that facet joint could be an important cause of low back pain, there is few clinic basis about low back pain which is caused by derangement of facet joint. We investigated parallelism of two lines, which connects the angle of inclination and epiphysis of each lumbar segment, and found out the stability of each segment. Methods : We examined the Fergnson`s angle and I.V.D Angle(L4-5, L5-S1) of lumbago patients by simple X-ray film(L-S spine lateral view). The normal Fergnson`s angle was arranged 34 degrees and was classified by every 5 degrees, and the normal I.V.D Angle(L4-5, L5-S1) was arranged 15 degrees and was classified by every 5 degrees.Results :1. In the distribution of Fergnson`s angle, 31-35 degrees were 25 cases(32.1%), 26∼30 degrees were 15 cases(19.2%), 36∼40 degrees were 13 cases(16.7%), 21∼25 degrees were 7 cases(9.0%), 15∼20 degrees were 6 cases(7.7%), 46∼50 degrees were 5cases(6.4%), 41∼45 degrees were 4 cases(5.1%), 51∼55 degrees were 2 cases(2.6%), below 10 degrees was 1 case in the sequence.2. In the distribution of I.V.D angle of L4-5, 6∼10 degrees and 11∼15 degrees were 33 cases(42.3%) each, below 5 degrees were 8 cases(10.2%), 16∼20 degrees were 4 cases(5.1%) in the sequence.3. In the distribution of I.V.D angle of L5-S1, 11∼15 degrees were 28 cases(35.9%), 16∼20 degrees were 27 cases(34.6%), 6∼10 degrees were 9 cases(11.5%), 21∼25 degrees were 8 cases(10.2%), below 5 degrees were 4 cases(5.1%), 26∼30 degrees were 2 cases(2.6%) in the sequence. Below 15 degrees which is relatively stable angle, were 32 cases(41.0%), and the angle which disturbs the stability of facet joints were 46 cases(58.9%) in the patients.Conclusions : Many lumbago patients had the big angle which disturbs the stability of facet joints and subluxations of I.V.D angle in L5-S1.

      • KCI등재

        편마비 중풍환자의 대퇴사두근각 변화에 대한 고찰

        이동열 ( Dong Yeul Lee ),반사평 ( Shih Ping Pan ),김순중 ( Sun Jung Kim ) 한방재활의학과학회 2004 한방재활의학과학회지 Vol.14 No.1

        Objects: The objects of this study are to know the changes of quadriceps angle(Q angle) as an indicator of stability of lower limbs in hemiparesis. Methods: We measured both sides Q angles of 40 patients, who have been gait disturbance in stroke. We measured them in standing position after marking times for getting a ordinarily walking pose. We used thread hanged a weight for vertical line from patella, and measured the angle between a line from patella to anterior superior illiac spine(ASIS) and a vertical line from patella. Then we compared Q angle with their motor grades, illness term, and toe out angle(TOA). Results: The average of Q angles on paralytic side was 12.85±1.30°, and the average of TOA on paralytic side was 16.87±6.60°. We discovered that Q angle decreased about 3.02±1.37° on paralytic side than on normal side. And TOA increased about 7.37±5.64° on paralytic side than on normal side. Q angle`s change(3.02±1.37°) correlated with motor grade and TOA`s change(7.37±5.64°), but correlation with illness term was not significant. Conclusions: These results suggest that decrease of Q angle mean decrease of muscular strength of quadriceps muscles or atony state on paralytic side. And we presume that change of Q angle represents stability of lower limbs in hemiparesis.

      • KCI등재

        골밀도(骨密度)와 퇴행성 척추증 환자의 치료예후와의 상관관계

        권영민 ( Young Min Kwon ),반사평 ( Shih Ping Pan ),김순중 ( Sun Jung Kim ) 한방재활의학과학회 2002 한방재활의학과학회지 Vol.12 No.4

        Objective : The purpose of this study is Quantitative analysis of oriental medical treatment by QCT(quantitative computed tomography), in order to explain of improvement for Degenerative spondylosis. Methods : We use method of projection with Quantitative computed tomography(QCT) to estimate Bone mineral density(BMD) of lumbar spine more precisely. From January 2002 to July 2002, We compared VAS(Visual Analogue Scale) with lumbar BMD, T-score, Z-score of patient who visited Hospital by QCT.Result : The scores of BMD don`t have correlation with VAS. The scores of Z-score has somewhat correlation with VAS, but there was no Significant. The score of T-scores has strongly correlation with VAS and there had valid Significant. Conclusion : These results suggest that We can use more T-score than BMD or Z-score to estimate improvement of oriental medical treatment for Degenerative spondylosis.

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